Nature of the Activity: Launch Trampoline Park, LLC (hereafter referred to as LTP) is a
trampoline park which offers
clients the opportunity to participate in a number of trampoline-related physical activities. These
activities can help
produce many benefits for the client – including pleasure, opportunity for competition, improved
physical fitness, more
attractive appearance, more energy, greater enjoyment of life, and many health benefits.
However, while there are many
benefits to trampolining, LTP feels it is important that the ADULT PARTICIPANT OR MINOR
PARTICIPANT &
PARENT/GUARDIAN knows that trampoline activities are active and vigorous and,
consequently, involve some risks of
injury that are inherent to the activity. While it is impossible to eliminate all risk and possibility of
injury, LTP 1) has
designed the facility with safety as a prime concern 2) requires participants to listen to court
rules prior to jumping, 3)
provides instruction in some activities, 4) provides general supervision of activities, 5) has
developed rules and policies
that focus on safety, and 6) has greatly reduced the major traditional hazard of trampoline
jumping (striking a hard surface
or the floor). The ADULT PARTICIPANT OR MINOR PARTICIPANT & PARENT/GUARDIAN
should also be aware
that there are risks involved in observing. Trip and falls, collisions when too close to the
trampoline areas, and falls from
the viewing deck are among the risks to the spectator.
Some of the activities available at LTP include: General Trampoline Jumping, Dodgeball,
Basketball Dunking,
Obstacles, Foam Pit Jumping, and Aerobics. Inherent risks of LTP activities might be divided
into two types – the first of
which is those risks inherent in any trampoline jumping (e.g., landing wrong; colliding with other
participants; landing on
another participant; over-exertion; attempting flips that are beyond participant’s capacity; landing
on a hard surface or the
wrong trampoline; unexpected failure of the equipment [including, but not limited to, trampoline
surface, attachments, and
padding]; flipping, running, or bouncing off walls; double bouncing [more than one person on a
trampoline], creating a
rebound effect causing injury; erratic behavior of other participants; and supervisory or judgment
error by supervisory
staff [including error in judging the ability of participants and failure to anticipate developing
situations]. The second type
of inherent risk is those risks related to the specific trampoline activities offered (e.g., dodgeball,
aerobics, obstacles,
basketball). These include, but are not limited to, being struck in the face or head by the ball;
over-exertion; landing
wrong in relation to an obstacle; and striking a backboard or goal.
LTP feels that it is important that the ADULT PARTICIPANT OR MINOR PARTICIPANT &
PARENT/GUARDIAN understands the three types of injuries that can occur. First is the
common Minor Injury. This type
includes, but is not limited to, muscle strains and sprains, bruises, abrasions, and contusions.
The second type of injury is
the Serious Injury. Examples of serious injuries are broken bones, ligament and joint injuries,
concussions, and eye injury
(including loss of vision in an eye). These are infrequent, but can and do occasionally occur.
The third type of injury is the
Catastrophic Injury. Some examples of catastrophic injury are brain injury; spinal cord and back
injuries that may result in
permanent disability and/or paralysis; heart attack; and death. Even though the occurrence of
such an injury is unlikely,
LTP management and staff feel that the ADULT PARTICIPANT OR MINOR PARTICIPANT &
PARENT/GUARDIAN
should be aware of all possibilities.
Assumption of Inherent Risks: I, the ADULT PARTICIPANT OR MINOR PARTICIPANT
&
PARENT/GUARDIAN have read the above paragraphs and know that LTP trampoline activities
contain inherent risks
which vary with the activity. I understand the demands of those activities relative to my
physical condition and skill
level, and I appreciate the types of injuries that may occur as a result of LTP activities and
their potential impact on my
well-being and lifestyle. I hereby assert that my participation is voluntary and that I
knowingly assume all inherent
risks.
*****
Waiver of Liability for Ordinary Negligence: In consideration of permission to use
the LTP property, facilities,
and services, today and on all future dates, I, the ADULT PARTICIPANT OR MINOR
PARTICIPANT &
PARENT/GUARDIAN, on behalf of myself, my spouse, my heirs, personal representatives, and
assigns [hereafter
referred to as Releasing Parties] do hereby release, waive, discharge, and covenant not to
sue LTP, its owners,
directors, officers, employees, volunteers, independent contractors, equipment providers, and
agents [hereafter referred to
as Protected Parties] from liability from any and all claims arising from the ordinary
negligence of LTP or the
protected parties.
This agreement applies to 1) personal injury (including death) from incidents or illnesses arising
from
participation in LTP activities (including, but not limited to, instruction, individual trampoline play,
trampoline
competition, classes, observation, individual use of facilities or equipment, shower/locker room
area, and all premises
including the associated sidewalks and parking lots); and to 2) any and all claims resulting from
the damage to, loss of, or
theft of property.
*****
Indemnification Agreement: I, the ADULT PARTICIPANT OR MINOR PARTICIPANT &
PARENT/GUARDIAN, agree to hold harmless, defend, and indemnify LTP and Protected
Parties (that is, defend and
pay any judgment and costs, including investigation costs, attorney’s fees and related
expenses) from any and all claims of
the Releasing Parties arising from my injury or loss due to my participation at LTP (including
claims arising from the
inherent risks of LTP activities and those arising from the ordinary negligence of LTP or
Protected Parties).
I further agree to hold harmless, defend, and indemnify LTP and Protected Parties (that is,
defend and pay
any judgment and costs, including investigation costs and attorney’s fees) against any and all
claims of co-participants,
rescuers, and others arising from my conduct in the course of my participation at LTP (including
claims arising from the
inherent risks of LTP activities and those arising from the ordinary negligence of LTP or
Protected Parties).
*****
Mediation and Arbitration: In the event any dispute arises, I, the ADULT PARTICIPANT OR
MINOR
PARTICIPANT & PARENT/GUARDIAN, agree to engage in good faith efforts to mediate a
settlement. Any agreement
reached will be formalized by a written contractual agreement at that time. Should the issue not
be resolved by mediation,
I agree that all disputes, controversies, or claims arising out of my participation at LTP shall be
submitted to binding
arbitration in accordance with the applicable rules of the American Arbitration Association then
in effect.
Clarifying Clauses:
1) I, the ADULT PARTICIPANT OR MINOR PARTICIPANT & PARENT/GUARDIAN, confirm
that this
agreement supersedes any and all previous oral or written promises or agreements. I
understand that this is
the entire agreement between me and LTP and cannot be modified or changed in any way by
representations or
statements by any agent or employee of LTP.
2) I also understand that if legal action is brought, the appropriate trial court for the County
of Kent in the
State of Rhode Island has the sole and exclusive jurisdiction and that only the substantive
laws of the State of
Rhode Island shall apply.
3) I further expressly agree that the foregoing Assumption of Risk, Waiver of Liability, and
Indemnification
Agreement is intended to be as broad and inclusive as is permitted by the laws of the State of
Rhode Island and
that if any portion thereof is held invalid, it is agreed that the balance shall, notwithstanding,
continue in full
legal force and effect.
In order for LTP to more effectively provide for the safety of the participant, LTP asks
ADULT PARTICIPANT
OR MINOR PARTICIPANT & PARENT/GUARDIAN to help us by certifying the following: I,
the ADULT
PARTICIPANT OR MINOR PARTICIPANT & PARENT/GUARDIAN
(Capability Assertions)
possess a sufficient level of skill and physical fitness for safe participation in LTP trampoline
activities.
have no health problems that would make participation in LTP trampoline activities unwise.
acknowledge that LTP encourages each client to get medical clearance prior to participation.
acknowledge that it is the participant’s duty to inform staff and cease exercise immediately if
he/she feels any
unusual discomfort (e.g., faintness, shortness of breath, high anxiety, chest pains) during
participation.
(Behavior Agreements)
agree to attempt only activities that I feel I am capable of performing safely.
agree to stay in areas that will not place me in undue danger.
agree to obey all safety rules and alert the staff to any rules violations or dangerous behavior
of co-participants.
acknowledge that the provider may need to end my participation if I present a danger to
myself or others.
(Emergency Authorizations)
authorize LTP to administer emergency first aid, CPR, and use an AED when deemed
necessary by LTP.
authorize LTP to secure emergency medical care or transportation (i.e., EMS) when deemed
necessary by LTP
and I agree to assume all costs of emergency medical care and transportation.
(Use of Images)
give permission to LTP to use any photographs, images, or likenesses taken of me in its
marketing brochures,
ads, videos, or other media.
Acknowledgment of Understanding: I, the ADULT PARTICIPANT OR MINOR
PARTICIPANT &
PARENT/GUARDIAN, have read this Assumption of Risk, Waiver of Liability, and
Indemnification Agreement and
fully understand its terms. I understand that I am giving up substantial rights, including my
right to sue. I further
acknowledge that I am signing the agreement freely and voluntarily, and intend my signature to
be a complete and
unconditional release of all liability due to 1) ordinary negligence by LTP and the Protected
Parties or to 2) the
inherent risks of LTP activities, to the greatest extent allowed by law in the State of Rhode
Island. Further, I, the
Parent/Guardian, assert that I have explained the risks of the activity to my minor son or
daughter and that he or she
understands this Agreement.
__________________________________ ____ __________ If Participant is a Minor, Parent/Guardian Must Complete
the following:
Name of PARTICIPANT (Print) Date
_____________________________ __________ ________________ ________
______________________________________ Name of Parent/Guardian #1 Signature of Parent/Guardian #1 Date
Signature of PARTICIPANT
_____________________________ ___________________________ ________
Name of Parent/Guardian #2 Signature of Parent/Guardian #2 Date
Parent’s Driver’s License Number __________________________
Emergency Contact Person ________________________ Phone____________ Mobile
____________